NOOK+Signout+Sheet

The Barnes and Noble NOOK COLOR is a convenient, portable reading device. It is the size of a paperback and capable of holding up to 1,500 books. The opportunity to use this device is a privilege that we are able to provide to students with the exception that the student will use extra caution and responsibility. Each NOOK is valued at $249.00. For this reason we require a parental signature before the NOOK may be borrowed by a student.

NOOK $249.00 Case $30.00 Power Adapter $15.00


 * Parent Responsibilities and Permission:**

I am authorizing the borrowing of a NOOK by my child. I understand that it is to be used as a tool for reading and learning and that my child will comply with the West Allis- West Milwaukee Acceptable Use Policy which has been signed by my child and is on file with the school district. I will help ensure the safe and timely return of the NOOK within the loan period of one week. I also understand that I am financially responsible for any willful, malicious, or accidental/unintentional damage to the NOOK and/or any of the accessories. I understand that my child may lose future loan privileges of the device if the NOOK is either damaged or not returned in a timely manner.

Guardian Name (printed) __________________________________

Guardian Signature _______________________________________ Date ___________

Guardian Contact info (phone and email) ______________________________________


 * Student Responsibilities and Permission:**

I agree to take care of the NOOK while it is in my possession. I will not throw, drop, or damage the NOOK in any way. I will carry it in a safe and secure manner. I will not give the NOOK to another student or family member for his/her use. I will use the NOOK in the appropriate way. I will comply with the Acceptable Use Policy which has been signed by me and is one file with the school district. I will **NOT** download any content to the NOOK with out written permission from theWest Allis –WestMilwaukeeSchool District. I agree to return the NOOK and all accessories in good condition at the conclusion of my one week loan period. Patrons must also be in good standing (no overdue books or fines) in the library to check out the NOOK.

Student name (printed) __________________________________

Student signature ______________________________________ Date ______________

Date permission slip received ______________________________
 * Media** **Center** **Staff Only**

Media Center Specialist signature __________________________

AUP on File _________________

Date borrowed: ____________________________